This 53-year-old woman had a rhinoplasty at age 18 for treatment of a deviated septum, large dorsal hump, and over-projected nasal tip. In the years following surgery, the patient developed progressive nasal obstruction and worsening tip asymmetry, with visible cartilage irregularity (Fig. 14.1A–H).
Fig. 14.1 (A–D) Preoperative photos of patient.
Analysis of Preoperative Photos
The tip is over-projected. The patient’s thin skin reveals bilateral tip bossae and a visible cleft in the infratip lobule that extends between the medial crura. The medial and intermediate crura are twisted and asymmetric. The left lateral crus is concave.
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